Penerapan Senam Intradilitik Pada Pasien Yang Menjalani Hemodialisis Di RS PKU Muhammadiyah Gamping
DOI:
https://doi.org/10.59680/medika.v2i2.1132Keywords:
Hemodialysis, Muscle Strength, Intradialytic ExercisesAbstract
Hemodialysis is a process of kidney replacement therapy. Decreased muscle strength in patients undergoing hemodialysis is a common problem caused by various factors related to chronic kidney disease and dialysis procedures. One way to treat decreased muscle strength is with intradialytic exercise therapy. Objective: To determine muscle strength after performing intradialytic exercises in hemodialysis patients. Method: The research uses a case study method, namely an individual-targeted nursing care approach. Results: After 3 intradialytic exercise interventions, an increase in muscle strength with handgrip dyanometer measurements of 7.80 and 3.50 was obtained. However, the results of measuring muscle strength using the Schawenker scale method did not show an increase, namely scale 4. Conclusion: Intradilytic exercise carried out in 3 meetings can increase hand muscle strength as measured using a handgrip dynanometer. Intradilytic exercise can be used as an alternative physical exercise during the hemodialysis process.
References
Ariyanti, I., Maria, R., & Masfuri, M. (2021). Penerapan latihan intradialitik terhadap adekuasi hemodialisis: Literature review. Jurnal Penelitian Kesehatan “SUARA FORIKES” (Journal of Health Research “Forikes Voice”), 12(3), 237. https://doi.org/10.33846/sf12303
Fauzi, A., Ahmedy, F., & Rosidah, R. (2023). Effektivitas aerobic exercise dan stretching exercise intradialytic terhadap penurunan restless leg syndrome pada pasien gagal ginjal kronik. Jurnal Keperawatan Ppni Jawa Barat, 1(1), 55–69.
Huang, M., Lv, A., Wang, J., Xu, N., Ma, G., Zhai, Z., Zhang, B., Gao, J., & Ni, C. (2019). Exercise training and outcomes in hemodialysis patients: Systematic review and meta-analysis. American Journal of Nephrology, 50(4), 240–254. S. Karger AG. https://doi.org/10.1159/000502447
Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/1634/2023 tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Ginjal Kronik.
Mailani, F. (2017). Kualitas hidup pasien penyakit ginjal kronik yang menjalani hemodialisis: Systematic review. NERS Jurnal Keperawatan, 11(1), 1. https://doi.org/10.25077/njk.11.1.1-8.2015
Pujiastuti, T. T., Aima, H., Lokonathan, S., & Chiew, L. (2020). Effectiveness of intradialytic exercise to reduce interdialytic weight gain in patients on hemodialysis at Private Hospital Yogyakarta. Enfermería Clínica, 30, 17–20. https://doi.org/10.1016/j.enfcli.2020.01.007
Rahayu, F., Wulandari, D., & Hermiati, D. (2019). Pengaruh latihan fisik terhadap kekuatan otot pasien gagal ginjal kronis di ruang hemodialisa. 11(1), 2087–5053.
Ratnawati, A., Khasanah, F., & Kemenkes Yogyakarta, P. (n.d.). Latihan intradialitik mempertahankan tanda-tanda vital dan meningkatkan kualitas hidup pasien hemodialisis.
Ribeiro, R., Coutinho, G. L., Iuras, A., Barbosa, A. M., Souza, J. A. C. de, Diniz, D. P., & Schor, N. (2013). Effect of resistance exercise intradialytic in renal patients chronic in hemodialysis. Jornal Brasileiro de Nefrologia : ’orgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia, 35(1), 13–19. https://doi.org/10.5935/01012800.20130003
Tim Pokja SDKI DPP PPNI. (2017). Standar Diagnosis Keperawatan Indonesia. Jakarta: DPP PPNI.
Tim Pokja SIKI DPP PPNI. (2018). Standar Intervensi Keperawatan Indonesia. Jakarta: DPP PPNI.
Tim Pokja SLKI DPP PPNI. (2019). Standar Luaran Keperawatan Indonesia. Jakarta: DPP PPNI.
Wahida, A. Z., Rumahorbo, H., & Murtiningsih. (2022). The effectiveness of intradialytic exercise in ameliorating fatigue symptoms in patients with chronic kidney failure undergoing hemodialysis: A systematic literature review and meta-analysis. J Taibah Univ Med Sci, 18(3), 512-525. https://doi.org/10.1016/j.jtumed.2022.11.004
